Physical Recovery, LLC
Speech-Language Pathologist, in Durham, NC. Organization (NPI-2).
NPI number1598802415
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1598802415
- Entity type
- Organization (NPI-2)
- Legal business name
- Physical Recovery, LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
3400 Croasdaile DrSte. 201
Durham, NC 27705-6815
Phone 919-382-0150 · Fax 919-382-3390
Mailing address
3400 Croasdaile DrSte. 201
Durham, NC 27705-6815
Phone 919-382-0150 · Fax 919-382-3390
Authorized official
Jeanne Guilliams
Owner
9193820150
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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